Doctor Name: | MR. DANIEL JOSEPH RESH |
NPI Number: | 1063634384 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LMHC |
License Number: | MH5490 |
Business Practice Address: | 3880 S Washington Ave Suite 153 Titusville, FL - 327805849 |
Business Phone Number: | 3212672228 |
Business Fax Number: | 3212672278 |
Mailing Address: | 3880 S Washington Ave, Suite 153 TITUSVILLE |
State: | FL |
Postal Code: | 327805849 |
Phone Number: | 3212672228 |
Fax Number: | 3212672278 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH5490 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |